<?xml version="1.0" encoding="UTF-8"?>
<content version="1.0.0.20070416">
	
	
	
	<page>
    
    <shopcart name="Shopcart" type="shop_cart_display"/>
    
    
		<fields button="custom" buttonlabel="Print invoice" type="checkout" name="aForm"  >


      <label name="yourdetailslabel" type="side" formsplit="yes">Your details</label>

      <fld name="Ecom_BillTo_Postal_Name_First" type="fld_input" input="readonly">
        <prompt>Name</prompt>
        <hintnormal></hintnormal>
        <hintvalid>Please enter your name</hintvalid>
        <mandatory>Y</mandatory>
        <valid>validText</valid>
        <value/>
      </fld>
      <!-- 				
			<fld name="Ecom_BillTo_Postal_Name_Last" type="fld_input">
				<prompt>Surname</prompt>
				<hintnormal>jack@company.com</hintnormal>
				<hintvalid>Please enter your email address</hintvalid>
				<mandatory>Y</mandatory>
				<valid>validEmail</valid>
				<value/>
			</fld>	-->
      <fld name="Ecom_BillTo_Online_Email" type="fld_input" input="readonly">
        <prompt>Email Address</prompt>
        <hintnormal></hintnormal>
        <hintvalid>Please enter your email address</hintvalid>
        <mandatory>Y</mandatory>
        <valid>validEmail</valid>
        <value/>
      </fld>
      <fld name="Ecom_BillTo_Telecom_Phone_Number" type="fld_input" input="readonly">
        <prompt>Work phone number:</prompt>
        <hintnormal></hintnormal>
        <hintvalid>Please enter your work phone number</hintvalid>
        <mandatory>Y</mandatory>
        <valid>validText</valid>
        <value/>
      </fld>

      <fld  name="Ecom_ShipTo_Telecom_Phone_Number" type="fld_input" input="readonly">
        <prompt>Cellphone number</prompt>
        <hintnormal></hintnormal>
        <hintvalid>Please enter your cellphone number</hintvalid>
        <mandatory>Y</mandatory>
        <valid>validCell</valid>
        <value/>
      </fld>

      <label name="CCdetailslabel" formsplit="yes">Credit card details</label>
      
      
      
			<fld name="Ecom_Payment_Card_Name" type="fld_input" input="readonly">
				<prompt>Cardholders Name</prompt>
				<hintnormal></hintnormal>
				<hintvalid>Please enter the name on your credit card</hintvalid>
				<mandatory>Y</mandatory>
				<valid>validText</valid>
				<value/>
			</fld>
			
			<fld name="Ecom_Payment_Card_Number" type="fld_input" input="readonly">
				<prompt>Credit Card Number</prompt>
				<hintnormal></hintnormal>
				<hintvalid>Please enter your credit card number</hintvalid>
				<mandatory>Y</mandatory>
				<valid>validText</valid>
				<value/>
			</fld>
			
			<fld name="Ecom_Payment_Card_Verification" type="fld_input" input="readonly">
				<prompt>Card verification number</prompt>
				<hintnormal></hintnormal>
				<hintvalid>Dont forget to enter the 3 digit verification number found on the back of your credit card</hintvalid>
				<mandatory>Y</mandatory>
				<valid>validText</valid>
				<value/>
			</fld>
		</fields>
	</page>
</content>
